Active NPI
Mansoor Ghayyadh
- Chore Provider
- Lincoln, NE
National Provider Identifier
1477379956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 5520 Union Hill Rd Apt 204
Lincoln, NE 68516-6516 - Phone
- (402) 601-2610
- NPI assigned
- Nov 29, 2024
- Last updated
- Dec 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
5520 Union Hill Rd Apt 204
Lincoln, NE 68516-6516
Mailing address
5520 Union Hill Rd Apt 204
Lincoln, NE 68516-6516
Phone (402) 601-2610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1477379956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 UNION HILL RD APT 204",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166516",
"telephone_number": "402-601-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 UNION HILL RD APT 204",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166516",
"telephone_number": "402-601-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAYYADH",
"first_name": "MANSOOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-29",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.